RMC’s Blog

New Codes for COVID Booster

The Food and Drug Administration’s (FDA) took action in the month of August 2021 to authorize an additional dose of COVID-19 vaccine for immunocompromised individuals, referred to as a “COVID Booster”. Both Pfizer and Moderna have been approved for this the third...

CMS and OIG Focus on Improper ICD-10-PCS Ventilation Coding

The Medicare-Severity Diagnostic Related Groups (MS-DRGs) with ICD-10-PCS mechanical ventilation code(s) have been cited by the Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector (OIG)  as problematic and a compliance risk.  In a June 2021...

FY2022 IPPS Rule (MS-DRGs) is Released and Noteworthy

The Centers for Medicare and Medicaid Services (CMS) released on August 2nd, the Fiscal Year 2022 final rule for both Inpatient Prospective Payment System (IPPS) and the Long Term Care Hospital (LTCH) Prospective Payment System.  After receiving more than 6500...

HCUP Report: Most Frequent Hospital Inpatient Principal Diagnoses

Throughout the years when working with and on hospital coding of inpatient encounters, I have found that the principal diagnosis was always a topic of discussion when it comes to coding accuracy determination. It certainly is important to understand the guidelines for...

Education and Training . . . for HIM and CDI

For those of us within the Health Information Management (HIM) profession and even Clinical Documentation Integrity (CDI) profession one of the main aspects to our jobs, our careers, is in fact obtaining “Education and Training”.  Although related to each other,...

FY2022 ICD-10-CM Codes Released . . . Time for Education!

Don’t you love summertime? School is out, we are taking vacations and trips, barbeques, sunny days, AND the new ICD-10-CM codes get released! Yes, it has occurred already (earlier than expected), the FY2022 ICD-10-CM codes have been released by the Centers for...

Clinical Coding Errors to Watch for . . .

Recently I was talking with a colleague about the most common coding errors or variances we’ve been seeing lately when conducting inpatient coding audits. The selection of the “Principal Diagnosis” and a “Missed or Unsupported Secondary Diagnosis” certainly were at...